Аннотация
Previous studies have shown that the dual phosphatidylinositide
3-kinase/mammalian target of rapamycin (PI3K/mTOR) inhibitor NVP-BEZ235
radiosensitizes tumor cells if added shortly before ionizing radiation (IR) and
kept in culture medium thereafter. The present study explores the impact of
inhibitor and IR schedule on the radiosensitizing ability of NVP-BEZ235 in four
human glioblastoma cell lines. Two different drug-IR treatment schedules were
compared. In schedule I, cells were treated with NVP-BEZ235 for 24 hours before
IR and the drug was removed before IR. In schedule II, the cells were exposed to
NVP-BEZ235 1 hour before, during, and up to 48 hours after IR. The cellular
response was analyzed by colony counts, expression of marker proteins of the
PI3K/AKT/mTOR pathway, cell cycle, and DNA damage. We found that under schedule
I, NVP-BEZ235 did not radiosensitize cells, which were mostly arrested in G1
phase during IR exposure. In addition, the drug-pretreated and irradiated cells
exhibited less DNA damage but increased expressions of phospho-AKT and
phospho-mTOR, compared to controls. In contrast, NVP-BEZ235 strongly enhanced the
radiosensitivity of cells treated according to schedule II. Possible reasons of
radiosensitization by NVP-BEZ235 under schedule II might be the protracted DNA
repair, prolonged G2/M arrest, and, to some extent, apoptosis. In addition, the
PI3K pathway was downregulated by the NVP-BEZ235 at the time of irradiation under
schedule II, as contrasted with its activation in schedule I. We found that,
depending on the drug-IR schedule, the NVP-BEZ235 can act either as a strong
radiosensitizer or as a cytostatic agent in glioblastoma cells.
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